Parallel and interactive learning processes within the basal ganglia: relevance for the understanding of addiction.
In this review we discuss the evidence that drug addiction, defined as a maladaptive compulsive habit, results from the progressive subversion by addictive drugs of striatum-dependent operant and Pavlovian learning mechanisms that are usually involved in the control over behaviour by stimuli associated with natural reinforcement. Although mainly organized through segregated parallel cortico-striato-pallido-thalamo-cortical loops involved in motor or emotional functions, the basal ganglia, and especially the striatum, are key mediators of the modulation of behavioural responses, under the control of both action-outcome and stimulus-response mechanisms, by incentive motivational processes and Pavlovian associations. Here we suggest that protracted exposure to addictive drugs recruits serial and dopamine-dependent, striato-nigro-striatal ascending spirals from the nucleus accumbens to more dorsal regions of the striatum that underlie a shift from action-outcome to stimulus-response mechanisms in the control over drug seeking. When this progressive ventral to dorsal striatum shift is combined with drug-associated Pavlovian influences from limbic structures such as the amygdala and the orbitofrontal cortex, drug seeking behaviour becomes established as an incentive habit. This instantiation of implicit sub-cortical processing of drug-associated stimuli and instrumental responding might be a key mechanism underlying the development of compulsive drug seeking and the high vulnerability to relapse which are hallmarks of drug addiction.
Belin
David
D
Department of Experimental Psychology, University of Cambridge, Downing Street, CB2 3EB Cambridge, UK. bdb26@cam.ac.uk
Jonkman
Sietse
S
Dickinson
Anthony
A
Robbins
Trevor W
TW
Everitt
Barry J
BJ
D000818:Animals; D001479:Basal Ganglia / Q000473:pathology / Q000503:physiopathology*; D016739:Behavior, Addictive / Q000473:pathology / Q000503:physiopathology*; D003216:Conditioning, Operant; D004298:Dopamine / Q000096:biosynthesis / Q000378:metabolism; D006801:Humans; D009415:Nerve Net / Q000473:pathology / Q000503:physiopathology; D009714:Nucleus Accumbens / Q000473:pathology / Q000503:physiopathology*; D012054:Reinforcement, Psychology; D019966:Substance-Related Disorders / Q000473:pathology / Q000503:physiopathology*
D004298:Dopamine